Individual provider Active NPI

James Darryl Gutzman, PA-C, RN, FNP

  • Physician Assistant
  • Lake Isabella, CA
National Provider Identifier
1295834844
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
18373 Issued in CA
Practice address
6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Phone
(760) 379-8630
NPI assigned
Sep 21, 2006
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 18373 CA Primary
Registered Nurse 163W00000X 475773 CA
Nurse Practitioner 363L00000X 16243 CA

Addresses

Primary practice location

6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726

Mailing address

6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Phone (760) 379-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000258 CA Practitioner - Physician Assistant 9739352378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Stanford University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sienna Medical CorporationGroup PAC ID 7113190877, 4 clinicians

Practice addresses (Care Compare)

6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Phone (760) 379-8630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Registered Nurse

State licenses

LicenseStateTypeSpecialty
475773CAMDRegistered Nurse
18373CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital Past Accepting new patients
Kern Valley Healthcare District Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/kernvh-26e64ef3

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1295834844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 LYNCH CANYON DR",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409726",
            "telephone_number": "760-379-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 LYNCH CANYON DR",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409726",
            "telephone_number": "760-379-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTZMAN",
        "first_name": "JAMES",
        "middle_name": "DARRYL",
        "name_prefix": "Mr.",
        "credential": "PA-C, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "18373",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "475773",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "16243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Isabella, CA

Sources for this page

Verify at the official NPI Registry.